VA benefits for senior care in Ohio can cover far more than most families realize. If your loved one is a veteran, the VA offers home-based medical care, nursing homes, monthly cash payments, and more. The challenge usually isn't eligibility. It's knowing what to ask for.
This guide covers every VA program that helps pay for or provide senior care, how to access them in Ohio, and what happens when VA care isn't enough on its own.
In This Guide
- Key Takeaways
- VA Senior Care Programs
- Ohio Veterans Homes
- Aid and Attendance
- Veteran-Directed Care
- Community Care (MISSION Act)
- How VA Benefits Work with Medicare and Medicaid
- How to Get Started
- Frequently Asked Questions
- Next Steps
VA Senior Care Programs: Long-Term Care Options
The VA offers multiple long-term care programs. Eligibility for each depends on the veteran's enrollment priority group, service-connected disabilities, and clinical need.
Home Based Primary Care (HBPC)
A VA physician supervises a health care team that visits the veteran at home. HBPC is designed for veterans with complex medical needs who have difficulty getting to a clinic regularly. The team typically includes a doctor, nurse, social worker, and may include rehabilitation therapists and a dietitian.
This isn't the same as home health care through Medicare. HBPC provides ongoing, coordinated primary care at home, not just short-term skilled visits. For veterans who qualify, it's one of the best programs the VA offers.
Adult Day Health Care
Veterans attend a structured daytime program that provides health monitoring, social activities, rehabilitation services, and meals. It also gives family caregivers reliable daytime respite. Programs may be at VA facilities or contracted community adult day centers.
Community Living Centers (VA Nursing Homes)
Community Living Centers are VA-run nursing homes providing full nursing facility care, including help with daily activities and skilled nursing. There are over 100 CLCs across the country, located at larger VA medical centers.
CLCs serve veterans who need short-term rehabilitation (after surgery or hospitalization), long-term nursing care, hospice care, or respite care.
Community Nursing Home Program
The VA contracts with community (non-VA) nursing homes to provide care for veterans who need nursing home services but live far from a CLC or when CLC beds aren't available. The VA covers the cost for eligible veterans.
Respite Care
The VA provides at least 30 days of respite care per year for caregivers of enrolled veterans. Respite can be in-home (a substitute caregiver comes to the house) or facility-based (the veteran stays temporarily in a CLC or community nursing home). Contact the VA Caregiver Support Line at 1-855-260-3274.
Not sure which VA program fits your family's situation? Chat with Brevy to get a personalized recommendation.
Ohio Veterans Homes
The Ohio Department of Veterans Services operates two state-run Ohio Veterans Homes: one in Sandusky, in northern Ohio about 60 miles west of Cleveland, and one in Georgetown, in southwestern Ohio about 45 miles east of Cincinnati. Both provide affordable long-term care to aged and disabled Ohio veterans.
| Campus | Care Offered |
|---|---|
| Sandusky | Standard nursing home care, Alzheimer's/dementia care, skilled nursing care, hospice care, plus an independent-living/limited-supervised-care (domiciliary) program |
| Georgetown | Standard nursing care and Alzheimer's/dementia care |
To be eligible for admission, an applicant generally must have been an Ohio resident for at least one year and have been honorably discharged or separated under honorable conditions from the U.S. Armed Forces. Contact the Ohio Department of Veterans Services for availability and current rates.
VA Aid and Attendance
The Aid and Attendance pension is a monthly cash benefit for veterans (or surviving spouses) who need help with daily activities.
2026 Rates
| Category | Monthly Amount |
|---|---|
| Veteran alone | Up to $2,424 |
| Veteran with spouse | Up to $2,874 |
| Surviving spouse | Up to $1,558 |
Who Qualifies
To be eligible, the veteran must have:
- Served during a wartime period
- Be 65 or older, or permanently disabled
- Need help with at least two Activities of Daily Living
- Have a net worth below $163,699 (including assets, not counting the primary home)
The VA enforces a 3-year look-back period on asset transfers.
How to Apply
Apply using VA Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance) and Form 21P-527EZ (Application for Pension). Processing typically takes 3-6 months.
Don't do this alone. The Ohio Department of Veterans Services and your County Veterans Service Office provide free help with VA claims and can significantly improve your chances of approval.
For the full application walkthrough, see our VA Aid and Attendance guide for Ohio.
Think your parent might qualify for Aid and Attendance? Chat with Brevy's care navigator for a quick eligibility check.
Veteran-Directed Care
The Veteran-Directed Care (VDC) program gives veterans a flexible budget to hire their own caregivers, including family members. The veteran (or their representative) decides who provides care, what services to purchase, and how to manage the budget.
Unlike many Medicaid self-directed programs, VDC has no blanket prohibition on hiring a spouse as a paid caregiver. A financial management services provider handles payroll and tax obligations. This is a good option for veterans who want control over their care and prefer family members as caregivers.
Contact your local VA medical center's social work department to ask about VDC availability in your area.
Community Care Through the MISSION Act
The MISSION Act (2019) expanded when veterans can receive care from community (non-VA) providers. You may be eligible for community care if:
- The VA can't offer an appointment within 20 days (primary care/mental health) or 28 days (specialty care)
- The drive to a VA facility exceeds 30 minutes (primary care) or 60 minutes (specialty care)
- The care you need isn't available at your VA facility
- Community care is in your best medical interest
In 2026, the Senator Elizabeth Dole Act removed extra review steps, making it faster for eligible veterans to access community care.
For Ohio veterans in rural areas far from a VA medical center, the MISSION Act can be the difference between getting timely care and waiting months.
How VA Benefits Work with Medicare and Medicaid
VA benefits don't replace Medicare or Medicaid. They work alongside them.
- VA + Medicare: Many veterans use both. Medicare covers care from non-VA providers, while VA covers care at VA facilities. You can't bill both for the same service, but having both gives you more options.
- VA + Ohio Medicaid: Aid and Attendance is a federal VA pension administered separately from Ohio Medicaid, with different agencies, applications, and rules, and an Ohio veteran can receive both at the same time. The programs count money differently: for VA pension purposes, unreimbursed medical and care expenses can be deducted from countable income, which can raise the Aid and Attendance amount, while Ohio Medicaid applies its own income and asset tests and treats VA pension income (including the Aid and Attendance amount) as income, which can affect a patient-liability or share-of-cost calculation.
- Because the two programs interact, the order and timing of applications can matter.
This is where a Veterans Service Officer or elder law attorney earns their value. A benefits counselor who understands both programs should review a case before applying.
Need help understanding how VA, Medicare, and Medicaid work together? Chat with Brevy to sort through your options.
How to Get Started
Step 1: Confirm VA Health Care Enrollment
If the veteran isn't already enrolled in VA health care, apply at va.gov/health-care/apply. The VA assigns a priority group (1-8) based on service-connected disabilities, income, and other factors. Higher priority groups get more benefits with lower or no copays.
Step 2: Get Free Help
Don't file claims or applications alone. These organizations provide free assistance:
- Ohio Department of Veterans Services (ODVS): 877-OHIO-VET (877-644-6838). ODVS connects veterans to the benefits they earned and oversees Ohio's network of County Veterans Service Offices.
- County Veterans Service Offices: Every one of Ohio's 88 counties has a CVSO staffed by trained, accredited County Veterans Service Officers who help with claims at no cost. Find yours through the ODVS "Find a CVSO" directory.
- Your local VA medical center social work department
Step 3: Gather Records
You'll need the veteran's DD-214 (discharge papers), medical records documenting the need for care, and financial information. If you can't find the DD-214, the National Personnel Records Center can provide copies (request through va.gov).
Frequently Asked Questions
Not for all programs. Veterans with 70%+ service-connected disability get priority access to VA long-term care at no cost. But other enrolled veterans can access many programs too, depending on their priority group and available resources. Aid and Attendance doesn't require a service-connected disability at all; it requires wartime service, age/disability, and need for help with ADLs.
An applicant generally must have been an Ohio resident for at least one year and have been honorably discharged or separated under honorable conditions from the U.S. Armed Forces. The Sandusky and Georgetown campuses offer nursing and dementia care, with skilled nursing and hospice care available at Sandusky.
Typically 3-6 months from application to first payment. Working with your County Veterans Service Office or an accredited representative can speed up the process and reduce the chance of errors that cause delays. You can apply while your loved one is already receiving care.
The VA doesn't directly operate assisted living facilities, but Aid and Attendance payments can be used to pay for assisted living. The Veteran-Directed Care program can also fund assisted living services.
Next Steps
If you're caring for a veteran who needs help, start by calling the Ohio Department of Veterans Services at 877-OHIO-VET (877-644-6838). They can connect you with your County Veterans Service Office to assess which benefits apply and help you file.
Learn More
- VA Aid and Attendance in Ohio
- Home Care vs Home Health in Ohio
- Nursing Homes in Ohio
- Cost of Senior Care in Ohio
- Assisted Living vs Nursing Home in Ohio
Find personalized help navigating VA senior care benefits in Ohio at brevy.com.
The information on Brevy.com is for educational purposes only and is not a substitute for professional legal, financial, or medical advice. Rules vary by state and program and change frequently. Always verify with the relevant agency or a qualified professional. Brevy is not a law firm, financial advisor, or healthcare provider.